SHASTA NUTRITION SERVICES NPI 1578635439

NPI Information

NPI: 1578635439
Provider Name: SHASTA NUTRITION SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
9225 PLACER RD
REDDING, CA
ZIP 96001
Phone: (530) 355-5820
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SHASTA NUTRITION SERVICES is a parenteral and enteral nutrition durable medical equipment medical supplies in Redding, CA. SHASTA NUTRITION SERVICES NPI is 1578635439. The provider is registered as an organization entity type.

The provider's business location address is:

9225 PLACER RD
REDDING, CA
ZIP 96001-364
Phone: (530) 355-5820

The provider's authorized official is Kevin Merl Dickinson .
The authorized official title is Owner and has the following contact phone number (530) 355-5820.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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